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SAS Journal of Medicine | Volume-1 | Issue-04
Prevalence and associated factors for Development of Diabetic Retinopathy in Clinic Followed up Cohort of Diabetic Patients in a Hospital Set up in Sri Lanka
A.A. Nilanga Nishad, Jayan de Silva, MAJI Mallawarachchi, MS Amaratunge
Published: Dec. 30, 2015 |
95
161
DOI: 10.36347/sasjm.2015.v01i04.010
Pages: Page: 172-175
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Abstract
This study was carried out to describe the prevalence of diabetic retinopathy and associated factors for
development of DR in a cohort of patients routinely followed up in a hospital setting in Sri Lanka. An analytical cross
sectional study was carried out using past patient medical records coupled with detailed clinical examination of eyes of
Diabetic patients attending to Vijaya Kumaratunga Hospital, Seeduwa, Sri Lanka. Diabetic retinopathy was graded as
Non proliferative diabetic retinopathy (NPDR), proliferative retinopathy (PDR) and macula oedema. Multiple logistic
regressions was carryout to determine associated factors. In results there were 176 type 2 diabetic patients and 59
(33.5%) were males. Median age of the participants was 58 (25th and 75th percentiles 53 and 64) years. The overall
prevalence of DR was 38.6% (35.6% among males and 40.2% among females). Commonest type of retinopathy among
females was NPDR (22.2%) and among males it was both NPDR and (CSMO) Macular oedema (13.6%). Duration of
diabetes was the only identified associated factor. (p = 0.024). In discussion the Prevalence of DR found from this study
was higher than the reported value for Sri Lanka in 1993 and among the other Asian studies. Time duration was only
identified as an associated factor for DR. Selection bias can be a limitation in this study since we evaluated a clinic
attending compliant diabetics.